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1396276325
STEPHANIE SHAW
COLUMBUS, GA
NPI
1396276325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: GA LPN069642)
Enumeration Date
2017-03-22
Last Update Date
2017-03-22
Business Address
-- STEPHANIE SHAW
1490 BUNKER HILL RD
COLUMBUS, GA 31907-7412
Phone number: 706-315-0427
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Mailing Address
-- STEPHANIE SHAW
1490 BUNKER HILL RD
COLUMBUS, GA 31907-7412
Phone number: 706-315-0427
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